magnacare local 272 welfare fund

COMMERCIAL. . Dec. 8, 2014) ("That the fees requested equal the amount actually billed to Respondents is a strong indicator that those fees are reasonable."). All Local 804 members qualify. 108.

Between 2003 and 2006, the Fund contracted with a preferred provider organization, Horizon Healthcare Services of New York, Inc. ("Horizon"). Local 272 Welfare Fund Local 295, IBT Local 338 RWDSU/UFCW Local 773 Benefits NENYDCPWF Local 804, I.B.T. These attorneys all had substantial familiarity with healthcare-related litigation. The Court disagrees.

To determine the reasonable number of hours required to litigate the case, courts must review the attorneys' contemporaneous time records. 1199SEIU Local 338 Magnacare . 1983)). ¶ 10. Montefiore commenced the First Action on March 11, 2009, in the Supreme Court of the State of New York, Bronx County. Co., No. BOX 420 25 . local 342 50 magna.

Martin Decl. 2017) (citing Merck Eprova AG v. Gnosis S.P.A., 760 F.3d 247, 266 (2d Cir. local 29 blasters & drillers & minors. Get Access to over 1500+ Payers with pVerify, including Medical, Dental, and Vision Payers!

14-CV-10229, Dkt. Co., 560 U.S. 242, 255 (2010). Local 464/Maxon Local 734 Local 825 Welfare Fund Magnacare/Magnet Mail Handlers Benefit Plan Medicaid Medicare Multiplan Mutual of Omaha National Association of Letter Carriers New Jersey Carpenters Health Fund Oxford Health Private Healthcare Systems (PHCS) at 8. O.R. MagnaCare (ex Global Excel all sites, local 272 non‐par for BISLW & NYEEI only) PPO PPO Y PATIENT MUST VERIFY WITH FACILITY IF COVERED UNDER A LOCAL WELFARE FUND Managed Health Network (MHN) HMO ‐ Behavioral Health N PPO‐ Behavioral Health N Medicare HMO N MetroPlus . Additional information is available at www.272welfare.com or by contacting Fred Alston at (212) 726-9730. Local 282 Welfare Fund Local 338 RWDSU/UFCW. Dkt. Dkt. UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK. Specifically, Montefiore raised four types of claims: (1) breach of contract claims that arose during the Horizon contract; (2) breach of contract claims that arose during the MagnaCare contract; (3) ERISA claims that arose during the MagnaCare contract; and (4) unjust enrichment claims, or in the alternative, ERISA claims, that arose after the MagnaCare contract was terminated.

No. The Fund subsequently paid all except one claim at the maximum in-network rate, and even the remaining claim was partially reimbursed for emergency room charges. Here, Montefiore has paid GW's bills in full, except for those submitted in connection with this fee application. 1010 1018. This is sufficient to obtain an award of attorneys' fees. Accordingly, an additional percentage reduction is appropriate. Most reports are delivered within 24 hrs and every client has 24/7 access to their patient reports through our secure network. Id.

No. Based on the billing deficiencies identified above, the Court will reduce Montefiore's proposed hours by 20%. 212-691-4228 www.local72.org 1 pcc funds. 102 bakers union. 48-2 at 2. v. Local 272 Welfare Fund. Dkt. See id.

88 at 3-4.

1 plumbers. Montefiore Medical Center v. Teamsters Local 272, 642 F.3d 321 (2d Cir. at 3. Handschu v. Special Servs. 1049 ibew. 01-CV-6558 (GEL), 2008 WL 1166309, at *6 (S.D.N.Y. Montefiore commenced the Second Action on December 31, 2014. No. Local 810 I.B.T.

108.

12-CV-9327 (LAK) (AJP), 2016 WL 335867, at *5 (S.D.N.Y. Phone: (631) 376-4045 Fax: (631) 376-4056 14-CV-4968 (PAE), 2015 WL 8784211, at *11 (S.D.N.Y. 116. Montefiore Medical Center, 589 F. App'x at 34.

Id. In addition, the Court's determination also accounts for other unreasonably expended hours. See McDonald v. Pension Plan of NYSA-ILA Pension Tr. Id. When determining a party's lodestar, courts in this District frequently award "$300 per hour for senior associates with at least eight years of experience," and "in the range of $125-215 to associates with three years of experience or less." Thus, with one exception, the Court will apply the reductions when calculating Montefiore's fee request. Id. No. Bereavement Services | Catholic Health 1 bricklayers magnacare.

Don't have an account? The Fund submitted a similar letter on February 7, 2013. 2011) case opinion from the District of New Jersey U.S. Federal District Court ¶¶ 21-23. At MagnaCare, we take healthcare personally and we put people first. UTF terminated its relationship with MagnaCare on December 31, 2013, and Local 522 terminated its relationship with MagnaCare on January 31, 2014. local 338 magna.

There can be no doubt that the USSR will play an active role in the Third World, availing itself of opportunities to compete with the West.

Full title:MONTEFIORE MEDICAL CENTER, Plaintiff, v. LOCAL 272 WELFARE FUND, et al.…, Court:UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK, No. See id.

Id.

Tailored to the customer. See Def. 2010). No. See Martin Decl., Exhibit C, at 62, 119 (DOL); 183-84 (appellate reply brief); id., Exhibit D, at 6, 11, 44 (Third Action); Martin Reply Aff. 68 at 9-10. Make Reservations. Finally, Judge Netburn recommended that Montefiore should be awarded prejudgment interest on its ERISA claims at the federal prime rate. Id. New York, NY 10010. United States Court of Appeals, Second Circuit. Teamsters Local 272 Collective Bargaining Agreements Avis(NYC, Nassau & Suffolk) Service Agents & Courtesy Bus Drivers Contract 11/3/2017-11/2/2022 Budget Rent Car, LGA JFK Agreement, Feb. 6, 2018 - Feb. 5, 2020 Local 1205 . With fully insured plans, you pay a set amount per employee. . A trusted partner to plan sponsors, TPAs, and carriers for more than 25 years, MagnaCare achieves exceptional value for clients and their members through highly customized, innovative healthcare solutions. 83 at 2-3. 86.

Learn more about our comprehensive health plan management >.

Crescent Publ'g Grp., Inc. v. Playboy Enter., 246 F.3d 142, 151 (2d Cir. The legal bills documenting the relevant fees are contained in Exhibits A and B of the Martin Reply Affidavit.

Because Montefiore had argued that its claims were governed by state law, it does not seek any fees for work performed before the Second Circuit's decision. Nevertheless, courts may apply five additional factors in exercising their discretion. Credit Risk Management: Basic Concepts: Financial Risk ... No. . No. Primary Location SCS Neurology - Smithtown 45 Terry Rd, Ste A Smithtown, NY 11787-3894 Ph: (631) 265-4485 Fax: (631) 539-8370 Get Directions. Call the COVID-19 Hotline at 1-888-364-3065 or make your appointment online at covid19screening.health.ny.gov. [can] amount[] to success on the merits"). Pl. 12-CV-8297 (KPF), 2014 WL 6879851, at *4 (S.D.N.Y. Teamsters Local 272 Accordingly, the Court concludes that Montefiore is entitled to reasonable fees and costs for its ERISA claims in the First and Second Actions. This book is an update of the treatment of hyperlipidemia, necessary due to the identification in recent years of molecular mechanisms of atherogenesis. No. The Second Action, in contrast, consisted exclusively of post-MagnaCare ERISA claims. PDF RD How You Will Benefit 23 - teamstercenter.com Long Island Center for Recovery Magellan Rx Management .

Apr. LOCAL 1199-BO BO00046 Local 272 welfare Fund-BO 01172 LoneStar TPA BO005 Loomis-BO BO10059 LOS ANGELES MEDICAL CENTER LAMC 00474 Louisiana Health Exchange 01173 Louisiana Healthcare Connections . 1049 ibew. MA NY MN. Teamsters Local 272 Collective Bargaining Agreements. The Fund contends that Montefiore's legal bills are insufficient to justify an award of attorneys' fees because these bills were reconstructed. Feb. 12, 2019) — the Court concludes that the other factors suggest an award of attorneys' fees is appropriate. Such conduct demonstrates culpability for purposes of the first factor. My 2, 2019) (citations omitted). 141. 83 at 3. -LHG ADVANCED SURGERY CENTER v. MAGNACARE et al, No. 1 wine liquor distillery.

Those claims were dismissed, and the remaining two MagnaCare claims, which were analyzed under ERISA, were denied on the merits. A year later, in August 2008, Montefiore terminated the Fund's right to obtain medical services under the MagnaCare contract.

Spiritual Care | Catholic Health Based on the Fund's letters, Judge Baer determined that most of the MagnaCare claims, and ail of the post-MagnaCare claims, had been settled. Montefiore Med. Ctr. v. Local 272 Welfare Fund, No. 09-CV ...

May 25, 2016) (relying on an attorney's declaration to conclude that billing information was entered contemporaneously); RLS Associates, 2002 WL 1285359, at *2 (requiring attorney to submit an "affidavit describing the firm's record-keeping and billing procedures"). Id.

No. 73; Montefiore Med. See Verdier v. Thalle Constr.

116. No. However, Montefiore argued that these claims were governed by state law, and it does not seek to recover any fees incurred in filing its motion here. Following the trial, Montefiore appealed Judge Baer's decision that most of the MagnaCare claims, and all of the post-MagnaCare claims, had been settled.

Changxing Li v. Kai Xiang Dong, No. Plaintiff Montefiore Medical Center ("Montefiore") filed two actions, in 2009 (the "First Action") and in 2014 (the "Second Action"), against Defendants Local 272 Welfare Fund (the "Fund") and its manager, Marc Goodman. 102 bakers union. 1 pcc funds. difficulty breathing, wheezing, chest tightness loss of consciousness hives, welts, or wheals generalized erythema (redness) swelling in the face, eyelids, lips, tongue, throat, hands, and feet coughing, hoarseness nasal congestion, sneezing rapid or irregular heart beat dizziness, faintness tingling or sensation of warmth difficulty swallowing . Id., Exhibits C & D. Lastly, Dayna Tann, a junior associate, worked on the First Action in 2011 and 2012.

Enter your Provider Number. Here, Montefiore provided a sworn declaration explaining how GW attorneys record their time, and how that information is used to populate GW's legal bills. See Marion S. Mishkin Law Office v. Lopalo, 767 F.3d 144, 149 (2d Cir. Local 804 Welfare Trust Fund Local 808 Health & Welfare Fund Local 808, I.B.T.

Sept., 28, 2018) (imposing a 60% reduction where the plaintiff billed 3,229 hours for a case that involved eight depositions and did not go to trial). Co. of Am., No. 1 plumbers. local 338 magna. local 342 50 magna. Montefiore makes clear, however, that all of the redacted charges were excluded from its calculations. Because the entire litigation was governed by ERISA, Montefiore seeks 100% of the fees that it incurred in litigating the case through summary judgment and appeal. Local 812 MagnaCare Meritain Health MetroComp Metro Plus Montefiore CMO Multiplan National Health Plan . A declaration under penalty of perjury that certain amounts were expended on particular costs may also be sufficient. Scarangella v. Grp Health, Inc., 731 F.3d 146, 155 (2d Cir. Casetext, Inc. and Casetext are not a law firm and do not provide legal advice. Please enter Group Number (F45) when submitting claims. Gonzalez, 112 F. Supp. Follow news and updates of your fellow Teamsters in the Joint Council 16 website (SEE BELOW)! MagnaCare is transparent. A "reasonable hourly rate is the rate a paying client would be willing to pay." at 15. This book, assessing the status of pensions and health care, presents a seminal view and should be read by all who care about our nation's future." — Ken Dychtwald, PhD, CEO, Age Wave, and author, Age Wave, The Power Years, and Workforce ... 68 at 19. The same holds true for GW's associates.

local 338 magna. Local 338 RWDSU/UFCW Local 802 Health, Welfare & Pension Funds. Martin Decl. 1181, Amalgamated Transit Union v. N.Y.C. No. 1102 magna. Local 272 Welfare Fund Local 272, I.B.T. Primary Location Island Digestive - Babylon 400 W Main St Babylon, NY 11702 Ph: (631) 321-6400 Fax: (631) 321-2969 Get Directions. comprehensive benefits consultant (comprehensive benefits magna) consumer health network. Accordingly, the $13.09 charged for a FedEx transaction to George Sikes cannot be recovered. Fund, No. Montefiore detailed its costs in the monthly legal bills that were filed with the Court. On remand, Magistrate Judge Sarah Netburn issued a Report and Recommendation addressing the majority of Montefiore's claims. Id. Her discounted billing rate was between $170 and $178 per hour. See Dkt.

The approaches described in this book emphasize collaboration of the patient and health care provider--both seeking to obtain the best possible outcome taking into account the intangible, but vital, nuances of the patient's culture, beliefs ... No. Plaintiff-appellant Montefiore Medical Center ("Montefiore" or "plaintiff") is a non-profit hospital in the Bronx, New York. 11-CV-4308 (PGG), 2013 WL 6171660, at *4 (S.D.N.Y.

Martin, Keane, and Silverman, the three partners who worked on the First and Second Actions, each have over thirty years of experience. Id. . Co. of Am., 389 F,3d 288, 298 (2d Cir.

Sept. 12, 2016 Membership Meeting at 5:30pm. . 3d at 57; accord Genger v. Genger, No.

As such, Montefiore seeks to recover 50% of the fees spent litigating the First Action up to and including the bench trial before Judge Baer. No. local 30 trust fund engineers magna. . Describes how the interests of doctors, patients, and the government have shaped the current health care system, and discusses the key issues of the future.

at 12-13. See Triumph Constr. See, e.g., Dimopoulou v. First Unum Life Ins. Improve the user experience with our new self-service portals and mobile app. 1974), although separate findings as to each factor are unnecessary, see C.B. Id. Here, GW's invoices contain a number of overly-generalized billing entries. Montefiore appealed, and on January 21, 2015, the Second Circuit vacated the judgment in its entirety. 1010/1018. PDF 2018 Jan- Contracted Payers - Mount Sinai Given the duration and scope of these litigations — and given that Montefiore has already paid the expenses in their entirety — the Court finds that GW's photocopying was reasonable. 272 1373 6385 8605091111 8605092222 2/28/2014 9/1/2013 9/30/2013. 2, 2015) (internal quotation marks omitted).

At that time, she had approximately seven years of experience practicing healthcare-related litigation. 1991)). Ellen H. Huggler and James C. Dunne organized documents, and Jennifer Ruzicka assisted in assembling binders. 13-CV-1351 (DF), 2016 WL 1211849, at *7 (S.D.N.Y. Millea, 658 F.3d at 166. 48-3 at 4. ¶ 19. Learn more about your health plan and how we keep you well and healthy, Custom-fit your health plan to meet the unique needs of your members, Find out why TPAs and carriers choose MagnaCare, Join our network of leading providers in New York, New Jersey, and Connecticut. The Fund provides no meaningful argument regarding the Chambless factors. Within seven days of the date of this Opinion & Order, Montefiore is directed to submit a proposed judgment consistent with this ruling for the Court's consideration.

Mar. Primary Location 45 Terry RD STE A Smithtown, NY 11787 Get Directions. 1049 ibew. 16. Court Description: OPINION AND ORDER: And as described above, one of the Funds denials stated that the Fund had paid in full to MagnaCare, thus implicitly acknowledging that the services rendered to that patient were covered under the Plan. Local 812 Health Fund Local 813 & Affiliated Trust Funds. DDS Inc. Dkt. This argument is unpersuasive.

2018). Sittenreich, Wilson, and Rogers had between six and eight years of experience during the relevant period, and Tann, a junior associate, had between one-to-two years. 1987)). Analyze a variety of pre-calculated financial metrics After that date, Montefiore was an out-of-network provider to the Fund's participants. 151, Declaration of Thom Capobianco ("Capobianco Decl.") Aug. 27, 2002) (reducing hours sought by 5% to account for time spent on clerical services). In May 2018, Judge Netburn directed the parties to file consolidated briefing for all outstanding issues in the First and Second Actions. Show All Fee Schedules 0000 Diagnostic 1000 Preventative 2000 Restorative (fillings) 2700 Crowns (caps) 3000 Endodontic (root canals) 4000 Periodontics 5000 Prosthodontics 6000 Fixed Prosthetics 7000 Oral Surgery 8000 Orthodontic 9000 Miscellaneous.

3d 698, 705 (E.D.N.Y. COMMERCIAL. After amending its complaint, Montefiore contends that the First Action consisted of an approximately equal number of ERISA claims and contract claims. Hello Brothers and Sisters! See Lopalo, 767 F.3d at 149 (quoting David v. Sullivan, 777 F. Supp. educating both new and seasoned home buyers. Log onto MyCreateHealth.com to view all your claims for services received in 2017 and later. Local 272 Welfare Fund provides welfare funds. Extend your presence in New York, New Jersey, and Connecticut with our large, high-quality, affordable network, trusted by local, regional, national, and international TPAs and carriers for more than 25 years. 85600. elderplan. We have consistently demonstrated cost savings for our clients while maximizing health and wellness for their members. Neil Bercow, MD. local 272 welfare fund magna. Montefiore is represented by Garfunkel Wild ("GW"), a medium-sized law firm that specializes in healthcare law. LOCAL 72 Michael Jovanovic, President 265 W 14th St, Room 704 New York, NY 10011. Finally, Montefiore seeks 100% of the fees incurred while preparing this motion. Courts typically award "those reasonable out-of-pocket expenses incurred by the attorney and which are normally charged fee-paying clients." 102 bakers union. local 338 magna. 1 wine liquor distillery. Find a healthcare provider Choose your plan to find a provider in your area. Local 808, I.B.T. The Trump's Taj Mahal in Atlantic City is on Strike, support our brothers and sisters from the UNITE union.

Lu-272 & Metropolitan Parking Association Agreement March 6, 2015 - March, Hoffa: House Passage of Build Back Better Act is a Boon for Working Families, Teamsters United Slate Elected to 5-Year Term to Lead Union, Workers at XPO in Albany, New York Vote to Join Teamsters Local 294, Teamsters Urge House Panel to Consider Wages, Safety in Supply Chain Discussions, Teamsters, Hoffa Attend Infrastructure Bill Signing, Build Back Better Will Create Millions of Jobs, Help Working Families, Hoffa: Signing of Infrastructure Investment Bill Will Lift Up U.S. 102 bakers union. Sep. 19, 2019). Nevertheless, other portions of GW's legal bills are more concerning. Try our monthly plan today. OPER Engineers-Local 825 / 225 Federal BCBS Oxford Great West Physicians Health Services HealthNet Principal Life Insurance Highmark Blue Cross Qualcare Horizon BCBS (All Plans) Simcare Horizon Mercy The Union Labor Life Ins. Progressive Emergency Physicians 1000 Montauk Hwy West Islip, NY 11795. local 338 magna. local 30 trust fund engineers magna. 1 iatse welfare fund.

Steamship Trade Association of Baltimore Ila Container Royalty Fund. 91136. coventry health care. 1 wine liquor distillery. Benefit Fund 1199 National Benefit . Local 723 Welfare Fund Local 802 & Local 138 Funds. local 272 welfare fund magna.

No. MagnaCare believes in delivering a robust network, deep discounts, innovative healthcare solutions, and the ultimate flexibility that enables our customers to control healthcare costs and achieve exceptional value.. Over 25 years we have grown into a leading TPA and PPO network by customizing our solutions to the audience. 's Br. Dkt.

. A Union is all of the above, attend your union meetings, get to know your rights, and the people who will stand with you: your delegates, and business representatives. 2012) (citations omitted). Id. On January 21, 2015, the Court of Appeals vacated the judgment in its entirety, holding that the "District…

Welfare United Healthcare Commercial United HealthCare Medicare EmpirePlan Tricare Wellcare AgeWell .

The Clerk of the Court is respectfully directed to terminate the motions at Docket Nos.

7, 2008); and third, where "[the fee applicant] has combined activities compensable at different rates." No. 1 wine liquor distillery. 1010/1018. A brief examination of the Chambless factors is therefore appropriate. On November 12, 2009, Judge Harold Baer, Jr. denied Montefiore's motion to remand. 2014) (quoting Cruz v. Local Union No.

The actual billing arrangement provides a "strong indication of what private parties believe is the reasonable fee to be awarded." This Court adopted Judge Netburn's Report and Recommendation in its entirety on February 12, 2019. Teamsters Local 272 represents workers in parking garages within the New York City region.

1 pcc funds. Courts must also consider the factors set forth in Johnson v. Georgia Highway Express, Inc., 488 F.2d 714 (5th Cir. Unless stated otherwise, docket citations refer to the First Action, No. Phone (908) 272-5335.

Holdings, Ltd., No. Id. at 18. Similarly, to account for time spent on the state law claims in the First Action, the Court has imposed a 75% reduction in the work performed up to and including the trial before Judge Baer.

108. Corp. v. New York City Council of Carpenters Pension Fund, No.

09-CV-03096 (RA) (SN) (S.D.N.Y.). Accordingly, GW's block-billing warrants a reduction in the requested fee. Thus, as a result of its successful litigation in the Second Action, Montefiore obtained a substantial portion of its requested relief under ERISA in the First Action.

. 31, 2017) (collecting cases).

local 342 50 magna. Start with our Member Resource Center to find resources to help you achieve your health goals. Dec. 15, 2015) (citations omitted); accord Dimopoulou, 2017 WL 464430, at *3 ("[T]he range of awarded rates for associates with approximately five years of experience has been between $250 and $350."). Whatever MagnaCare's status from 2001 to 2013, it is no longer a fiduciary of the plans. Malvern Institute . v. Richmond Org., Inc., 330 F. Supp. PO BOX 982010 P.O. Insurance Name *. 2011 Updated Reprint. Updated Annually. China Telecommunication Industry Business Opportunities Handbook Vol. 3 Important Business and Investment Opportunities local 30 trust fund engineers magna. Montefiore Medical Center v. Local 272 Welfare Fund et al, No. Lastly, the Fund claims that several of Montefiore's photocopying charges are excessive.

See id. ¶ 15. Id. Michael Keane has approximately 31 years of experience and is the Co-Chair of the Litigation and Arbitration Group.

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